Get the free STUDENT IMMUNIZATION RECORD - SLU - slu

SAINT LOUIS UNIVERSITY STUDENT IMMUNIZATION RECORD Please Print STUDENT NAME BANNER ID NUMBER PERMANENT ADDRESS DATE OF BIRTH CITY. STATE. ZIP SEX PHONE INTENDED MAJOR IF KNOWN INSTRUCTIONS: 1. Please

How to fill out student immunization record

How to fill out a student immunization record:

1. Obtain the student immunization record form from the school or healthcare provider. It is usually available online or can be requested in person.
2. Provide the required information on the form, such as the student's full name, date of birth, and student identification number.
3. Fill in the contact information, including the student's address, phone number, and emergency contact details.
4. Record the dates of each immunization received by the student. Include the name of the vaccine and the manufacturer.
5. Specify the type of immunization received, such as a vaccine for measles, mumps, rubella, hepatitis, influenza, etc.
6. Note the dose or the series of vaccines completed. For example, if the student received two doses of the measles vaccine, indicate "2 of 2" or "completed series" next to that specific immunization.
7. Indicate any allergic reactions or adverse side effects experienced by the student after receiving a vaccine. If none, write "N/A" or leave it blank.
8. Sign and date the form to certify the accuracy of the information provided. Some forms may require a parent or legal guardian's signature, while others may require the signature of a healthcare provider.

Who needs a student immunization record:

1. Students attending school: Almost all schools, including public, private, and charter schools, require students to have an up-to-date immunization record. This helps ensure a healthy and safe environment for all students and staff.
2. College and university students: Post-secondary institutions also typically mandate immunization records for students. Requirements may vary depending on the specific school and the student's program of study.
3. Students participating in extracurricular activities: Some extracurricular activities, such as sports teams or clubs, may require students to provide their immunization records to ensure the health and safety of all participants.
4. Students participating in study abroad programs: Many study abroad programs and international schools have specific immunization requirements to protect the health of students in foreign countries.

In conclusion, filling out a student immunization record involves providing personal details, documenting immunizations received, and signing the form to certify its accuracy. The record is typically required for students attending various educational institutions and participating in certain activities to ensure a healthy environment for all.

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What is student immunization record?

A student immunization record is a document that shows the vaccines a student has received.

Who is required to file student immunization record?

Parents or guardians of students are usually required to file student immunization records with schools or educational institutions.

How to fill out student immunization record?

To fill out a student immunization record, parents or guardians need to list the vaccines their child has received with dates and any exemptions.

What is the purpose of student immunization record?

The purpose of a student immunization record is to ensure students are up to date on required vaccinations to protect public health.

What information must be reported on student immunization record?

Information such as the student's name, date of birth, vaccines received, dates of vaccinations, and any exemptions must be reported on a student immunization record.